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(Click above to play) After more than 50 years of clinical practice, there are always patients who ask me, my lung nodules have been followed up for a long time, and there has been no change, does it mean that there is nothing wrong with this nodule? Don't worry about it?
In this regard, I would like to remind everyone that this perception is wrong!
Although in the past, it was generally believed in the medical community that "pulmonary nodules are benign if there is no change in size or no continuous deterioration after 3 years of follow-up." "That's because in the past, the level of medical technology was backward. However, nowadays, with the continuous improvement of medical standards, according to the latest clinical case data of pulmonary nodules, this view is the biggest pit that the medical community has ever stepped on!
In fact, tumors have a relatively quiescent period, and even if the nodule lasts for 2, 3, or 5 years, it is still possible to grow suddenly. There are still clinical cases showing that there are patients whose pulmonary nodules have not changed after 20 years of follow-up, but they suddenly grow and worsen.
I had a patient not long ago, and I was angry about his condition, why?
In 2018, he was diagnosed with a lung nodule because of chest tightness and chest pain, but because the nodule was only 2 mm at that time, there was no problem with the chest X-ray in the local hospital, and the nodule was relatively small, so he was allowed to follow up regularly for observation.
Later, the patient insisted on follow-up for more than 3 years, and found that the nodule had not changed, so he did not take this matter to heart. Later, the patient went for a physical examination because of work, but found that there was a ground-glass nodule in the lungs, and the nodules had grown to 1 cm. The patient was very worried that his nodules would become malignant, and he found me through a friend.
After seeing the doctor, I learned that the patient's chest tightness and chest pain lasted for 8 years, and since the Spring Festival last year, he has back pain, and he usually takes Western medicine to suppress it. There are symptoms such as cough, phlegm, dry mouth, bad breath, sweating, and loose stools. The tongue is dark red, the tongue coating is thin and white, the veins and veins at the bottom of the tongue are full, and there is blood stasis.
Based on his condition, I quickly diagnosed it as a typical deficiency of yang and too yin.
So the formula: Bupleurum, skullcap, ginger banxia, codonopsis, dried ginger, boiled licorice, oysters, poria cocos, atractylodes, cinnamon branches, peach kernels, Zexiao, honey locust, smallpox pollen.
This recipe is actually added or subtracted on the basis of Xiao Chai Hu Tang and Li Zhong Tang. Xiao Chai Hu Tang with smallpox pollen is responsible for reconciling Shaoyang, reconciling the liver and spleen, and taking into account the regulation of the Sanjiao waterway; Lizhong soup can regulate the coke and strengthen the spleen and stomach. In addition, Poria cocos and Atractylodes macrocephalus dispel dampness and improve stool problems; Ze Yuan, honey locust, cinnamon branch, peach kernel are used for expectorant, blood circulation, blood stasis, and improve nodule physical problems; Add oysters to enhance the knots.
After two weeks of medication, the patient's stool, chest tightness and chest pain improved, and the effect was not better, so he continued to use the drug for conditioning, and after 2 months, the cough and sputum improved. After another 3 months, the patient went for a follow-up examination, and the CT showed that "the ground glass density shadow in the middle lobe of the original right lung was not shown." "The nodules are gone, and the other uncomfortable symptoms are gone! The patient later expressed his gratitude to me more than once. Later, he himself fell in love with Chinese medicine.
Here I would like to remind everyone that if you find a lung nodule, it is important to have regular re-examination! Some nodules, especially ground-glass nodules, do not grow or change, indicating that the nodule has a feature of inert growth and may be a tumor. If you don't care about it because it doesn't change, then if one day the nodule grows and worsens, you can't detect it in time, so you miss the best time for treatment, it will be more than worth the loss!